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Organization
VICTORY DENTAL CENTER
Active
Organization
VICTORY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRICK MCDONALD (OWNER)
(803) 547-2280
Entity
Organization
Contact information
Practice address
9787 CHARLOTTE HWY STE 201, INDIAN LAND, SC 29707-5511
(803) 547-2280
(803) 547-4208
Mailing address
9787 CHARLOTTE HWY STE 201, INDIAN LAND, SC 29707-5511
(803) 547-2280
(803) 547-4208
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
4382
SC
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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